Posterior surgical stabilization for atlantoaxial subluxation in rheumatoid arthritis

Roby C. Thompson, Thomas J. Meyer

Research output: Contribution to journalArticle

50 Scopus citations

Abstract

Twelve patients with rheumatoid arthritis involving the cervical spine were treated with posterior surgical stabilization for atlantoaxial instability. There were two occiput C2 fusions with one death and ten C 1-2 fusions with nine successful fusions, giving an overall 84% satisfactory results and 90% satisfactory results In the C 1-2 fusions alone. It is proposed that careful attention to operative positioning and postoperative management are responsible for the better results reported in this series than recent reports of operative treatment of similar patients. The use of halo traction intraoperatively with careful attention to positioning of the neck and halo cast postoperatively are advocated.

Original languageEnglish (US)
Pages (from-to)597-601
Number of pages5
JournalSpine
Volume10
Issue number7
DOIs
StatePublished - Sep 1985

Keywords

  • Atlantoaxial instability
  • Halo cast
  • Posterior fusion
  • Rheumatoid arthritis

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